• Anaesthesia · Dec 2012

    Comparative Study

    Comparison of peri-operative core temperature in obese and non-obese patients.

    • L A Fernandes, L G Braz, F A Koga, C M Kakuda, N S P Módolo, L R de Carvalho, P T G Vianna, and J R C Braz.
    • Postgraduate Program in Anaesthesiology, Department of Anaesthesiology, Botucatu Medical School, Universidade Estadual Paulista, Botucatu, Brazil.
    • Anaesthesia. 2012 Dec 1;67(12):1364-9.

    AbstractOur aim was to compare peri-operative core temperatures and the incidence of hypothermia in obese and non-obese women with active forced-air warming. Twenty female patients scheduled for abdominal surgery were allocated to two groups according to body mass index. Ten obese (30.0-34.9 kg.m(-2) ) and 10 non-obese (18.5-24.9 kg.m(-2) ) women received forced-air warming on their lower limbs. At the end of surgery, the mean (SD) core temperatures were 36.7 (0.5) °C in the obese group and 36.0 (0.6) °C in the non-obese group (p < 0.001). Only in the non-obese group was there a significant decrease in the intra-operative core temperature values (p < 0.001). The incidences of intra-operative hypothermia were lower in the obese group (10%) compared with non-obese group (60%; p = 0.019). In the postoperative recovery phase, the mean (SD) core temperature data were higher in the obese group than in the non-obese group (36.2 (0.4) vs 35.6 (0.5) °C, respectively (p < 0.001)). In conclusion, obese female patients have higher peri-operative core temperature and a lower incidence of hypothermia compared with non-obese female patients during abdominal surgery with active forced-air warming.Anaesthesia © 2012 The Association of Anaesthetists of Great Britain and Ireland.

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